1. SARS-CoV-2: recommendations for treatment in intensive care medicine
- Author
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Stefan Neuwersch-Sommeregger, Roman Ullrich, Walter R. Hasibeder, Eva Schaden, Reinhard Germann, Thomas Staudinger, Andreas Valentin, Christoph Hörmann, Daniel Dankl, Klaus Markstaller, Michael Joannidis, Rudolf Likar, Markus Köstenberger, and Steve-Oliver Müller-Muttonen
- Subjects
medicine.medical_specialty ,2019-20 coronavirus outbreak ,Nursing staff ,Coronavirus disease 2019 (COVID-19) ,Critical Care ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Pneumonia, Viral ,Acute respiratory distress ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Betacoronavirus ,0302 clinical medicine ,Anesthesiology ,Personal protective equipment ,medicine ,Humans ,030212 general & internal medicine ,Intensive care medicine ,Pandemics ,Intensive care treatment ,business.industry ,SARS-CoV-2 ,COVID-19 ,Main Topic ,General Medicine ,SARS-CoV‑2 ,Austria ,ARDS ,Respiratory therapy ,business ,Coronavirus Infections - Abstract
Summary Coronavirus disease 2019 (COVID-19) progresses mildly in most of the cases; however, about 5% of the patients develop a severe acute respiratory distress syndrome (ARDS). Of all COVID-19 patients 3% need intensive care treatment, which becomes a great challenge for anesthesiology and intensive care medicine, medically, hygienically and for technical safety requirements. For these reasons, only experienced medical and nursing staff in the smallest grouping possible should be assigned. For these team members, a consistent use of personal protective equipment (PPE) is essential. Due to the immense medical challenges, the following treatment guidelines were developed by the ÖGARI (Österreichische Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin), FASIM (Federation of Austrian Societies of Intensive Care Medicine) and ÖGIAIN (Österreichische Gesellschaft für Internistische und Allgemeine Intensivmedizin und Notfallmedizin). The recommendations given in this article are to be understood as short snapshots of the moment; all basic guidelines are works in progress and will be regularly updated as evidence levels, new study results and additional experience are gathered.
- Published
- 2020